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Table 1 Recommended core assessment battery for BPD effectiveness research

From: Consistency and coherence in treatment outcome measures for borderline personality disorder

Domain Measure Relevant psychometric properties
BPD Symptoms & Severity Borderline Symptom Checklist [28] Cronbach’s α = .97; 1 week test-retest reliability,
r = .84; good divergent and convergent validity
Psychiatric comorbidity Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scale [29] Chronbach’s α = .80-.92; test-retest reliability,
r = .83-.84; sensitivity = .66-.89; specificity = .71-.94
Substance Misuse World Health Organization Alcohol, Smoking, and Substance Involvement Screening Test [30] Cronbach’s α = .89; sensitivity = .80-.97; specificity = .71-.96; good divergent and convergent validity
Quality of Life SF-12 [31] Test-retest reliability, r = .76-.89; good divergent and convergent validity
Daily Functioning World Health Organization Disability Assessment Schedule 2.0 [32] Cronbach’s α = .94-.96; test-retest reliability, ICC = .93-.96; good construct and concurrent validity
Reduction in polypharmacy % prescribed multiple antipsychotics N/A; Note, however, this metric is in line with the Hospital-Based Inpatient Psychiatric Services Core Measures [33]
Service Utilization Days hospitalized N/A
Suicide related behaviors Self-rated, electronic Columbia Suicide Severity Rating Scale [34,35] Cronbach’s α = .73-94; Kappa: .79 – 1.00; acceptable sensitivity and specificity